NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW
Sample Answer for NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW Included After Question
NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW
NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW
Assignment: Regulation for Nursing Practice Staff Development Meeting HW
The role of the boards of nursing is to promote the welfare and protect public health through assuring and overseeing the licensed nurses based on their level of practice. Therefore, the boards of nursing act as state agencies that provide safety and competent care (Spector et al.,2018). Each board of directors comprises a non-profit organization, National Council of State Boards of Nursing (NCSBN), and operates independently. Notably, the number of boards of nursing is fifty -nine in total. The board of nursing is lead by the board of directors consisting of nurses and other members. The state’s boards of directors are responsible for administering the laws that govern the nursing practice and education. The board of nursing is prohibited from lobbying, supporting, or lobbying any proposed bill during the legislative sessions.
In contrast, professional nursing associations differ from the board of nursing since they act as professional membership organizations that require members to pay the dues, thus helping them enjoy the benefits. Additionally, the professional nurse association is elected by members of the association thus governed by the Board of Directors (Halstead, 2017). Moreover, the professional nursing association serves as the united voice for nurses and works actively, thus empowering the process to deliver quality health care.
The board for my region is the North Dakota board of nursing. The board membership consist of nine appointed member who are appointed by the governor. Notably, there are five of the members are registered nurses ,two licensed practical nurse, one advanced practice nurse and a public member. The serving term for the North Dakota board of nursing is a four years team and no member is allowed to be appointed more than two consecutive terms and the public member is appointed by the governor. coinciding with the four years term.
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To become a member of the North Dakota board of nursing, one must have the United States Social Security Number. A member must have completed a nursing program that prepared you for the level of licensure sought and includes supervised clinical experience across the life span as part of the curriculum. Moreover, one must have one of the following: four hundred hours of license nursing practice in the last four years for the level of licensure sought (if practice occurred outside of the United States, complete the Verification of Employment Form). Either complete a nursing program in the past four years or complete a board-approved refresher course within the past four years. You must submit proof of initial licensure by examination with the examination meeting North Dakota requirements for licensure examinations in effect at the time the applicant qualified for initial licensure.
The state regulation related to general nurse scope of practice is the Advanced Practice Registered
Nurses (APRNs). The APRNS include the clinical nurse specialist, nurse midwives, nurse practitioners, and nurse anesthetists, and they all help in a pivotal role in the future of health care. Advanced Practice Registered Nurses act at the forefront in providing preventive care services to the public. APRNs treat and diagnose illnesses by advising the public on health issues and engaging in continuous education to remain ahead of any technology, thus influencing the nurse’s role. Additionally, they provide primary, acute, and specialty health care across the lifespan through treatment and illness assessment.
The advanced practice nurse profession regulation influences cost-effectiveness in healthcare by helping in diagnosing common medical problems, ordering tests, making referrals, and prescribing medications. Additionally, the regulation influences access to healthcare providing competent and safe care in the setting, thus strengthening the workforce that fulfills the escalating healthcare demands(Woo et al., 2017)
. Moreover, the advanced practice nurse profession helps in the emergency setting by enabling physicians to pay greater attention to patients with highly complex and acuity issues. Therefore, by improving access to prompt emergent care, the regulation influences the delivery by enhancing timely treatment through observing priority in emergency care.
The state regulation related to the general nursing scope includes the Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN). The state regulation is educated, maintain active licensure and title to practice nursing. Therefore, Registered Nurse regulation help in defining the standards and parameters of professional nursing practice. In addition, they emphasize advanced protection over the advancement of nursing; decisions tend to be conservative and risk-averse, as well as helping in the regulatory process. The Registered nurse shapes the care, thus influencing the nurse’s role.
Registered nurse regulation can influence the cost of health care since they are always on the front lines. For instance, many departments implement improvement of the project through involving the front-line members. Additionally, a registered nurse can advocate against unnecessary treatments or medication, thus influencing the organization costs. Furthermore, registered nurses help coordinate care from multiple providers, thus managing caseloads if patients with intense care need influence effective access to healthcare. Moreover, they act as health coaches, thus preventing illness and promoting wellness which influences the delivery of patient care.
REFERENCES
- Halstead, J. A. (2017). Professional nursing organizations. Issues and trends in nursing: Practice, policy, and leadership, 107-118.
- Spector, N., Hooper, J. I., Silvestre, J., & Qian, H. (2018). Board of nursing approval of registered nurse education programs. Journal of Nursing Regulation, 8(4), 22-31. https://www.sciencedirect.com/science/article/pii/S2155825617301783
- Woo, B. F. Y., Lee, J. X. Y., & San Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 1-22. https://link.springer.com/article/10.1186/s12960-017-0237-9
- https://www.nursingworld.org/
- https://www.ncsbn.org/index.htm
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Question Description
I’m stuck on a Nursing question and need an explanation.
Describe at least one federal regulation for healthcare.
How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
Has there been any change to the regulation within the past 5 years? Explain.
Describe at least one state regulation related to general nurse scope of practice.
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Include Speaker Notes on Each Slide (except on the title page and reference page)
By Day 7 of Week 6
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
APRN Board of Nursing Regulations in Texas, Arizona, and Colorado
Cahill and Painter (2021) stated that each state enforces its laws and regulations for Advanced Practice Registered Nurses (APRNs) to adhere to and follow. All the states across the country contain a Board of Nursing. This is a governmental body that ensures that the nurses in a particular state adhere to the NPA of that particular state. The nonprofit National Council of State Boards of Nursing (NCSBN) in partnership with the state board, ensures that the nurses across the states are following the safety standards of nursing when they are delivering care to the patients (Cahill & Painter, 2021). Reflecting on how each state’s board of nursing regulations, specifically in governing APRN’s differ, one could see that there are many differences. I will utilize Texas, Arizona, and Colorado as examples.
Mentoring Nursing Practitioner
About the necessity for a provider to be assigned a mentor as he or she offers care service, Cos et al. (2021) stated that both the Arizona and Texas state licensure laws do not make it a necessity for mentors during practice. Also, the nursing practitioners do not need to complete any period in terms of hours or days with provisional prescriptive authority (Cos et al., 2021). On the contrary, nurse practitioners in the state of Colorado are required to have mentoring nursing practitioners or physicians as they complete 1000 hours under the observation of the provisional prescriptive authority (Cos et al., 2021).
Prescriptive Authority
Cos et al. (2021) stated that Arizona state practice and licensure laws permit all nursing practitioners to assess clients, request for, and make interpretations in regards to diagnostic tests. Also, Cos et al. (2021) stated that a nurse practitioner is given the authority to start and control treatments, for example, making prescriptions for drugs and controlled substances as required by the Arizona licensure committee of the nursing board. Arizona prescriptive authority conforms to the requirements of the National Academy of Medicine in addition to that of the National Council of State Boards of Nursing. However, the nurse practitioner ought to successfully apply for a Controlled Substance Prescription Monitoring program (Cos et al., 2021). This is referred to as full practice. On the other hand, the Texas nursing practice and licensure policy restricts the capability of a nurse practitioner to take part in not less than one component of nurse practitioner practice (Cos et al., 2021). Also, Texas state law calls for career-long supervision, team supervision, or delegation by a different health care organization to enable the nursing practitioner to offer care service (Cos et al., 2021). This is referred to as restricted practice. Just like Arizona, the Colorado state nursing licensure permits nurse practitioners to operate with full authority in assessment, diagnosis, prescription of drugs including controlled substances (Cos et al., 2021).
Nursing Regulations Applied to Advanced Practice Registered Nurses (APRNs) With Legal Authority for Practicing Within the Full Scope of Their Education and Experience.
The full practice freedom will likely produce a positive result in that numerous adults are being offered regular check-ups in a small-time frame (Darwish et al., 2021). This is because providers can diversify their services, hence offering care for a large number of people within a short period. Due to inadequate care physicians, it is appropriate to allow non-physicians like APRNs to offer full practice which could result in more alternatives in terms of care service (Darwish et al., 2021). On the other hand, restricted practice is likely to result in long queues in care facilities because each provider is limited to the kind of services he or she is to offer. Numerous care providers undergo training and they have the will to offer assistance in a quest to meet patient needs, however, not all of them are permitted to operate in such a way due to limitations imposed on their practice by various states where they practice (Darwish et al., 2021). These limitations are associated with various challenges that affect how providers interact with patients
How Advanced Practice Registered Nurses (APRNs) Can Adhere to the Full and Restricted Practice
Full practice nurses can adhere to the policy by meeting all patient demands by conducting a full assessment, evaluation, diagnosis, and drug prescription (Osakwe et al., 2021). Those operating in states that limit their practice can abide by the policies by practicing in their line of specialization while coordinating with other providers from other lines to offer care for patients. The adoption of a consensus model will promote certification, licensure uniformity, education, and also accreditation to facilitate regulations and also ensure that the nurses are competent in their practice in their various states to ensure that they deliver quality care to the patients ((Osakwe et al., 2021).
References
Cahill, M. L., Painter, D. R., & CCTC, F. (2021). The authority for certain clinical tasks performed by unlicensed patient care technicians and LPNs/LVNs in the hemodialysis setting: An update and invitation to take action. Nephrology Nursing Journal, 48(2), 119-129. https://doi.org/10.37526/1526-744X.2021.48.2.119.
Cos, T. A., Starbird, L. E., Lee, H., Chun, B., Gonnella, K., Bird, J., … & Tavolaro-Ryley, L. (2021). Expanding access to nurse-managed medication for opioid use disorder. Nursing Outlook. https://doi.org/10.1016/j.outlook.2021.03.012
Darwish, O. A., Aggarwal, A., Karvar, M., Ma, C., Haug, V., Wu, M., … & Panayi, A. C. (2021). Adherence to personal protective equipment guidelines during the COVID-19 pandemic among health care personnel in the United States. Disaster Medicine and Public Health Preparedness, 1-3. https://doi.org/10.1017/dmp.2021.12.
Osakwe, Z. T., Kim, R. S., Obioha, C. U., Osborne, J. C., Harun, N., & Saint Fleur-Calixte, R. (2021). Impact of state scope-of-practice laws on nurse practitioner-provided home visits. Geriatric Nursing, 42(3), 674-680. https://doi.org/10.1016/j.gerinurse.2021.03.002
Submission and Grading Information
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Module 4
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
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ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 4, “Government Response: Regulation” (pp. 57–84)
American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org
Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002
Note: You will access this article from the Walden Library databases.
Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291
National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm
Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001
Note: You will access this article from the Walden Library databases.
Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.
Rubric Detail
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Content
Name: NURS_6050_Module03_Week06_Assignment_Rubric
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Boards of Nursing vs. Professional Nurse Associations
Develop a 9- to 10-slide PowerPoint presentation that addresses the following:
· Describe the differences between a board of nursing and a professional nurse association.
· Describe the geographic distribution, academic credentials, practice positions, and licensure status of the members of the board for your specific region/area.
· Who is on the board?
· How does one become a member of the board?
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
Points Range: 23 (23%) – 25 (25%)
The response accurately and thoroughly describes the differences between a board of nursing and a professional nurse association.
Response provides a complete and accurate description of who is on a board of nursing, detailing geographic distribution, academic credentials, practice positions, and licensure status.
The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Points Range: 20 (20%) – 22 (22%)
The response accurately describes the differences between a board of nursing and a professional nurse association.
Responses provides an accurate description of who is on a board of nursing, and detailing geographic distribution, academic credentials, practice positions, and licensure status.
The response provides an accurate explanation how one becomes a member of the board of nursing.
Presentation includes speaker notes that explain the points of the presentation.
Points Range: 18 (18%) – 19 (19%)
Description of the differences between a board of nursing and a professional nurse association is inaccurate or incomplete.
Description of who is on a board of nursing is incomplete or inaccurate in detailing geographic distribution, academic credentials, practice positions, and licensure status.
Explanation of how one becomes a member of the board of nursing is vague or inaccurate.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Points Range: 0 (0%) – 17 (17%)
Description of the differences between a board of nursing and a professional nurse associations is inaccurate and incomplete, or is missing.
Description of who is on a board of nursing detailing geographic distribution, academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing.
Explanation of how one becomes a member of the board is vague and inaccurate, or is missing.
Speaker notes are incomplete or missing altogether.
The Impact of Federal Regulation on Healthcare
Describe at least one federal regulation for healthcare.
· How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
· Has there been any change to the regulation within the past 5 years? Explain.
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
Points Range: 18 (18%) – 20 (20%)
Response clearly and accurately explains one or more federal regulations for healthcare.
Response clearly and accurately explains in detail how the regulation(s) influence delivery, cost, and access to healthcare.
Response clearly and accurately explains in detail whether there has been any change to the regulation(s) within the past 5 years and specific, relevant examples are provided.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Points Range: 16 (16%) – 17 (17%)
Response accurately explains one federal regulation for healthcare.
The response accurately explains how the regulation(s) influence delivery, cost, and access to healthcare.
Response accurately explains whether there has been any change to the regulation(s) within the past 5 years and a relevant example may be provided.
Presentation includes speaker notes that explain the points of the presentation.
Points Range: 14 (14%) – 15 (15%)
Explanation for one or more federal regulations for healthcare is vague or inaccurate.
Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague or incomplete.
Explanation of whether there has been any change to the regulation(s) within the past 5 years is vague or inaccurate and/or examples are not relevant or are missing.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Points Range: 0 (0%) – 13 (13%)
Explanation of one or more federal regulations for healthcare is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague and inaccurate, or is missing.
Explanation of whether there has been any change to the regulation(s) within the past 5 years and specific examples are vague and inaccurate, or is missing.
Speaker notes are incomplete or missing altogether.
The Impact of State Regulation on Nurse Practice
Describe at least one state regulation related to general nurse scope of practice.
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
Points Range: 18 (18%) – 20 (20%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Points Range: 16 (16%) – 17 (17%)
Response includes an accurate description of how one state regulation is related to general nurse scope of practice.
Response accurately explains how the regulation influences the nurse’s role.
Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain the points of the presentation.
Points Range: 14 (14%) – 15 (15%)
Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate.
Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Points Range: 0 (0%) – 13 (13%)
Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.
Speaker notes are incomplete or missing altogether.
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
· How does this regulation influence the nurse’s role?
· How does this regulation influence delivery, cost, and access to healthcare?
· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.
Points Range: 18 (18%) – 20 (20%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.
Points Range: 16 (16%) – 17 (17%)
Response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs).
Response accurately explains how the regulation influences the nurse’s role.
Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain the points of the presentation.
Points Range: 14 (14%) – 15 (15%)
Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate.
Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Points Range: 0 (0%) – 13 (13%)
Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.
Speaker notes are incomplete or missing altogether.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_6050_Module03_Week06_Assignment_Rubric
Assignment: Regulation for Nursing Practice Staff Development Meeting
Introduction
- Both national nursing associations and boards of nursing play significant roles in the nurse practitioner profession and the general scope of their practice. Therefore, understanding the differences between the two helps lend credence to the expertise of different healthcare professionals.
Nurses at all stages of their careers ought to commit to ongoing career growth and development. Therefore, national nursing associations provide unique opportunities for career advancement, opportunities for networking, as well as the provision and promotion of the best practice guidelines. National nursing associations offer access to leadership development as well as mentoring that are not always accessible to professionals within their organization of work. National nursing associations provide opportunities for general membership and can sometimes target specific roles, including critical care nurses and student nurses (Alotaibi, 2017). National nurses associations often gain strength through expansive collaboration and exchange of ideas. Members of national nurse associations often benefit from the foundation built on shared professional experiences. Boards of Nursing refers to the agencies that promote and protect the general public’s health and welfare by assuring and overseeing that licensed nurses are involved in the provision of competent and safe healthcare services. The Board of Nurses is led by the elected Board of Directors, who oversee different activities to ensure effective operational processes.
Differences between A Board Of Nursing and a Professional Nurse Association
- Private membership requiring potential members to pay dues to enjoy benefits
- Mainly involved in the protection of nursing professionals
- Involved in the protection of nurse’s interests and may assist in cases of disciplinary actions
- Members are elected, no payment of due
- Mainly involved in the protection of public interest
- Boards of Nursing supervise the licensure renewals, issuance, and applications; they also pursue disciplinary actions in case nurses violates the laws
Both national nurse associations and the Board of nursing are led by directors elected that mainly consist of nurses and other members. The Board of Nurses is not always involved in the drafting of legislation. Also, they cannot oppose or support the proposed bills during legislative processes. However, the Board of nurses often establishes measures that ensure the provision of quality healthcare services to the general public. They are also involved in the development of policies that ensure that nurses and other healthcare professionals are involved in the provision of quality healthcare services to different types of patients. Even though it can sometimes appear that the board of nursing restricts different nursing practices, they often try to have an uneven keel when it comes to the protection of the public from harm through setting minimum qualifications and competencies (Stanley et al., 2019). National nurse associations, on the other hand, are involved in the protection of nurse’s interests. They always act on behalf of nurses to ensure proper working conditions.
Board for a Specific Region/Area:
Alabama Board of Nursing
- The main objective of the Alabama Board of Nursing is to promote and safeguard the safety, health, as well as welfare of the general public through licensing and approvals of qualified persons as well as adopting and imposing the legal standards for nursing education and nursing practice.
The Alabama Board of Nursing is mainly involved in the promotion and safeguarding of health and safety of the members of the public through the formulation of policies aimed at ensuring the nurse and other healthcare professionals adhere to the best practices that lead to the delivery of high-quality care. The Alabama Board of Nursing endeavors to ensure the delivery of quality care through the provision of regulatory excellence. The Alabama Board of Nursing is often involved in the enforcement and implementation of the Nurse Practice Act as well as rules and regulations in line with the Alabama Administrative code to ensure maintenance of public safety. The Alabama Board of Nursing is often involved in state-specific licensing and sets standards for the provision of safe nursing care (Heale & Rieck Buckley, 2020). The board also set or decide on the scope of practice among the nurses within Alabama’s jurisdiction and issue licenses to qualified candidates. Alabama Board of Nursing ensures that nurses are involved in providing quality care to all the public members.
Board Members and How to Become a Member
The board members consists of:
- President- Cheryl Bailey
- Vice president- Valorie Dearmon
- Secretary- Janice Seip
- Advanced practice registered nurses
Members of the Alabama Board of Nursing are appointed by the governor and they serve a four-year term limits. Besides, members can be re-appointed for additional term.
Alabama Board of Nursing consists of the president who is in charge of all the activities undertaken. The president is always elected by the members; the election process is often done after the determination of the qualification of the potential candidates. The president is assisted by the vice president, who is also elected. The main role of the board members is to make policies and decide on different practices that ought to be followed to ensure successful operational processes. The current president of the Alabama Board of Nursing, Cheryl Bailey, is serving her second four-year term, she was re-elected as the Board president in the year 2019, and she is mainly interested in assisting team members in promoting and safeguarding the safety, health as well as the welfare of the public. The board members have well-defined objectives that are expected to enhance the operation of the entire organization. Board members are always elected based on their level of competency.
Regulation Related to General Nurse Scope of Practice and How the Regulation Influence The Nurse’s Role
- One of the regulation related to the general nurse scope of practice is the licensing processes.
- All nursing practice licenses are only given to the qualified nurses after successfully undergoing the required training
- The above regulation impact’s the nurses roles in different ways including:
- Improved development of competency in the nursing practice
- Improved quality of healthcare delivered to patients
- Advocate for the well-being of the patients
Alabama State has stiff regulations that ensure the delivery of quality healthcare services to patients. These regulations impact nursing practice in different ways. The regulations also ensure that patients are given quality healthcare services from different healthcare institutions. Alabama State has strict regulations on the licensing processes. In other words, licenses are only given to qualified healthcare professionals or nurses; the reason is to ensure that only qualified and competent nurses are given the opportunity to manage patients and to provide effective healthcare services. The regulations are meant to enhance effective patient outcomes and ensure that proper treatment guidelines are followed. Every state often has unique regulations that ensure that healthcare professionals adhere to the required practices. Also, these regulations are meant to facilitate the delivery of quality healthcare to all patients. The state government of Alabama is committed to providing quality healthcare services to all the patients and ensuring general improvement in public health; thus, they are often engaged in the formulation of effective strategies.
How the Regulation Influence Delivery, Cost, and Access to Healthcare
Strict licensing process for nurses ensures that only qualified nurses are recruited in different healthcare facilities; thus the impacts are observed:
- In the improved delivery of quality care
- Reduction the costs of healthcare delivery due to quality procedures and research-based approaches
- The general improvement access to different types of healthcare services
Strict licensing procedures ensure that only highly qualified healthcare professionals are recruited to serve patients in different healthcare institutions. Highly qualified nurses are able to apply evidence-based practices and other research processes in ensuring that healthcare services are delivered in line with the required standards and within the ethical regulations. Also, with the effective licensing processes, healthcare institutions are able to acquire enough nurses, a scenario that can lead to the delivery of different healthcare processes at different levels of care. In most cases, the cost of medication often arises as a result of a lack of enough facilities in different healthcare institutions. Thus, with the flexibility yet, strict licensing process, healthcare institutions can significantly reduce the cost of medication and other healthcare services. Additionally, the cost rising cost of healthcare is normally attributed to inadequate research processes and qualified healthcare professionals. However, with the effective licensing processes, there are always opportunities for the management to receive qualified healthcare professionals capable of providing evidence-based practice healthcare services.
State Regulation Related to Advanced Practice Registered Nurses (APRNS)
- The state of Alabama has specific regulations for the Advanced Practice Registered Nurses (APRNs).
- One of the regulation is: APRN ought to have Master’s degree in nursing as well as the certification from the national certifying agency recognized by the board of nursing.
Advanced practice registered nurses is always required to have advanced educational achievement, preferably Master’s level. At this level, they are supposed to have research skills as well as knowledge of evidence-based practices. Thus, they are the main agents when it comes to the provision or delivery of quality care to different patients. Advanced Practice Registered Nurses include clinical nurse specialists, nurse practitioners, nurse anesthetists, as well as nurse-midwives. All these professionals play significant roles in the provision of quality healthcare services. The APRN is regarded as the primary care provider; they are always at the forefront of engaging in the provision of preventive care services to the public members. Advanced Practice Registered Nurses ought to have a Master’s degree from a recognized university in the state of Alabama. With this qualification, it is believed that they have research skills as well as evidence-based practices surrounding the provision of quality care. The state of Alabama has specific regulations for the Advanced Practice Registered Nurses (APRNs).
How the State Regulation Related to Advanced Practice Registered Nurses (APRNS) Influence The Nurse’s Role
- The regulation allow nurses to engage in the provision of quality healthcare services
- The regulation also allow nurses to adhere to the evidence-based practices which are critical in the effective patient outcomes
- Also, the regulation allow nurses to develop collaborative skills in the delivery of quality healthcare services to all the patients.
One of the major roles of APRNs is to ensure the provision of quality healthcare services to all patients. They can achieve this through engagement in research-based healthcare services. Advanced practice registered nurses also play critical roles in the provision of effective leadership in the nursing processes. They guide other professionals in ensuring that patients are given healthcare services in line with their consent. In Alabama, for nurses to be become APRNs, they ought to have a Master’s degree from a recognized university. They also need to have research skills and the knowledge of evidence-based practices to ensure that there is the delivery of quality care. The state government of Alabama has advanced nursing training processes meant to produce more APRN nurses to meet the demands of the growing healthcare needs. However, the training processes offered differ significantly from the areas of specialties. Over the years, the state has been able to enhance the provision of quality care through the recruitment of more APRNs.
How the APRN Regulation Influence Delivery, Cost, and Access to Healthcare
- Recruiting APRNs with Master’s degree has enabled delivery of quality healthcare services. Improved delivery of healthcare processes has open the door for treatment of various complications and management of different patients within the healthcare institutions.
- With the recruitment of more APRN nurses, healthcare institutions have been able to undertake training processes aimed at increasing the number of nurses (Partin, 2019). The increase in the number of nurses has significantly reduced the cost of healthcare delivery. Also, with the increase in nurses, there have been an increase in the access of different healthcare services.
The recruitment of highly qualified professionals to be part of the APRN has led to the delivery of quality services. Alabama State has stiff regulations that ensure the delivery of quality healthcare services to patients (National Council of State Boards of Nursing, 2018). These regulations impact nursing practice in different ways. The regulations also ensure that patients are given quality healthcare services from different healthcare institutions. Alabama State has strict regulations on the educational qualification has allowed for the increased research processes and adherences to the evidence based practices. In other words, licenses are only given to qualified healthcare professionals or nurses; the reason is to ensure that only qualified and competent nurses are given the opportunity to manage patients and to provide effective healthcare services.
The regulations are meant to enhance effective patient outcomes and ensure that proper treatment guidelines are followed. Every state often has unique regulations that ensure that healthcare professionals adhere to the required practices. Also, these regulations are meant to facilitate the delivery of quality healthcare to all patients. The state government of Alabama is committed to providing quality healthcare services to all the patients and ensuring general improvement in public health; thus, they are often engaged in the formulation of effective strategies.
Conclusion
- Both national nurse associations and the Board of nursing are led by directors elected that mainly consist of nurses and other members. The Board of Nurses is not always involved in the drafting of legislation. Also, they cannot oppose or support the proposed bills during legislative processes.
National nursing associations provide opportunities for general membership and can sometimes target specific roles, including critical care nurses and student nurses. National nurses associations often gain strength through expansive collaboration and exchange of ideas. Advanced practice registered nurses is always required to have advanced educational achievement, preferably Master’s level. At this level, they are supposed to have research skills as well as knowledge of evidence-based practices. Thus, they are the main agents when it comes to the provision or delivery of quality care to different patients. The Alabama Board of Nursing is mainly involved in the promotion and safeguarding of health and safety of the members of the public through the formulation of policies aimed at ensuring the nurse and other healthcare professionals adhere to the best practices that lead to the delivery of high-quality care.
References
- Alotaibi, M. (2017). Factors affecting nurses’ decisions to join their professional association. International Nursing Review, 54(2), 160-165. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1466-7657.2007.00555.x
- National Council of State Boards of Nursing. (2018). National guidelines for nursing delegation. Journal of Nursing Regulation, 7(1), 5-14. https://www.sciencedirect.com/science/article/abs/pii/S2155825616310353
- Stanley, J. M., Werner, K. E., & Apple, K. (2019). Positioning advanced practice registered nurses for health care reform: Consensus on APRN regulation. Journal of Professional Nursing, 25(6), 340-348. https://www.sciencedirect.com/science/article/abs/pii/S875572230900146X
- Heale, R., & Rieck Buckley, C. (2020). An international perspective of advanced practice nursing regulation. International nursing review, 62(3), 421-429. https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12193
- Partin, B. (2019). Consensus model for APRN regulation. The Nurse Practitioner, 34(6), 8. https://journals.lww.com/tnpj/Citation/2009/06000/Consensus_model_for_APRN_regulation.3.aspx
Professional Nursing and State-Level Regulations
A Sample Answer for The Assignment: NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW
Title: NURS 6050 Assignment: Regulation for Nursing Practice Staff Development Meeting HW
Dr. Dodson and Collogues,
While researching this topic, I learned that every state has different regulations on how a Nurse Practitioner can practice their license in their particular conditions. It is a drawback that still many states have many limitations to NP’s practice in some states. Different practice authorities’ statuses are broadly defined by AANP (2021). According to the AANP, there are different categories of how an NP can practice within their states: full practice, reduced practice, and restricted practice. The full practice laws allow all NPs to fully assess patients, diagnose, order tests and medication including controlled substances, and do not need a physician’s supervision. The reduced practice and laws limit NP’s ability to engage in at least one element of NP practice. Usually, the states require a collaborative agreement with a physician for the NP to provide patient care. Lastly, the restricted practice laws restrict NP in career-long supervision, delegation, or team management by health care providers to provide patient care (AANP, 2021).
Texas is the state that I currently work and is my home state. Nurse Practitioners in the state of Texas are in a restricted practice zone. The regulatory agency that governs NP’s is the Texas State Board of Nursing (AANP, 2021). The licensure required to be an NP in Texas is to hold an RN license, have a graduate degree, and pass the national certification to practice in the profession. Regarding prescriptive authority, the NP must maintain a prescriptive authority agreement or protocol with the physician (NCSBN, 2021). They can prescribe schedule 111-V controlled substances and schedule 11. The state requires that NP take courses in pharmacotherapeutics, pathophysiology, advanced assessment and diagnosis, and management of problems within the clinical specialty. The big difference is that NP has to file a separate application within the Department of Public Safety for controlled substance registration to prescribe controlled substances (NCSBN, 2021).
Now, I wanted to research a different state for this discussion, and I came across Nebraska. For the state of Nebraska, the NP has a full scope of practice. The board of advanced practiced registered nurses is the regulatory agency (AANP, 2021). Some licensure requirements to be an NP are that the nurse should have an RN license, hold a graduate degree, and pass the national certification. They also follow the advanced practice registered nurse practice act for their profession. When it comes down to prescriptive authority, NP is only required to have physician involvement in the first 2,000 hours of practice (AANP, 2021). Then onward, they can prescribe by themselves. They have the authority to prescribe schedule 111-V controlled substances and schedule 11 controlled substances. The NP needs to have completed 30 hrs. of education in pharmacotherapeutics. The power to prescribe general drugs and controlled substances is included with their licensure. The board does not track the number of NPs with the DEA number (AANP, 2021).
So when we compare the two states, even though the licensure requirement is the same for both states, the regulatory structure, regulatory agency, and prescriptive authority are different among the two states. Unfortunately for Texas, NP’s and their practice authority fall short, and in effect, it restricts their ability to practice to the full extent to their education, experience, and credentials. The Nurse Practitioners in Nebraska have more autonomy than the NPs in Texas. In Texas, the board monitors the DEA number vs. Nebraska; the board does not track the DEA number of the NPS (Bradley University, n.d).
APRNs adhere to the regulations by identifying a collaborating physician and have a collaborative practice agreement to comply with these standards (Herman,1999). A collaborative practice agreement is a written statement that specifies how a physician and an APN will operate together in a coordinated manner. It establishes a structure for the APN’s legal protection and sets up each party’s rights and responsibilities (Bradley University, n.d.). Regardless of practice location, all APNs should be familiar with the features of collaborative practice.
I believe this causes an inadequacy in threatening the future of American Healthcare. The restricted conditions are troubling Texas due to the shortage of primary care providers across the country. There will be a predicted deficit of between 14,900 and 35,600 primary care doctors in America (Association of American Medical College, 2020). Giving NP in Texas an unrestrictive practice; NP’s will fulfill the healthcare needs of the growing, aging population, especially in rural regions, underserved populations. Allowing APRNs to practice full-time will enable them to get more experience, broaden their abilities as nurse practitioners, and inspire essential advancements in the nursing field. NP should be given full legal authority to practice as they have earned through rigorous academic and clinical training.
American Nurses Association. (2021). Advanced Practice Registration Nurses (APRN). https://www.nursingworld.org/practice-policy/aprn/
Association of American Medical College. (2020). U.S. physician shortage growing. https://www.aamc.org/news-insights/us-physician-shortage-growing
Bradley University. (n.d.). What is Full Practice Authority for Nurse Practitioners? https://onlinedegrees.bradley.edu/nursing/msn-fnp/resources/understanding-regulations-what-is-full-practice-authority/#:~:text=According%20to%20the%20American%20Association%20of%20Nurse%20Practitioners,nursing%20board%20%28a%20definition%20last%20updated%20in%202015%29.
Herman J, Ziel S. Collaborative practice agreements for advanced practice nurses: what you should know. AACN Clin Issues. 1999 Aug;10(3):337-42. doi: 10.1097/00044067-199908000-00003. PMID: 10745704.
NCSBN. (2021). APRN Consensus Implementation Status. https://www.ncsbn.org/5397.htm
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